GeriPal

OCTOBER 19, 2023

For a trial to have value, it should not exclude patients over age 80, or those with dementia, or patients residing in nursing homes. Additional links mentioned in the podcast: Recent JGIM article on POLST in California nursing homes, hospitalization, and nursing home care Karl’s GeriPal post on appropriate use of POLST Enjoy!

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Document Nursing home Healthcare proxy Ventilator 309

GeriPal

JANUARY 18, 2024

And Katie, I was going through your Twitter feed, and a tweet I noticed was this one, “All opioid guidelines caution long-term use in people with active substance use disorder.” And so, again, that is getting better with increased use of take home doses for people. AMA PRA Category 1 credit(s) ™. Should we be excluding it?

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Palliative care Palliate Informed consent Article 337

GeriPal

FEBRUARY 20, 2025

And we often do, as healthcare providers, care for people who are going through traumatic events, through just being sick in the hospital or a home or dying at home. But I think there’s less nuance and understanding in the general population or even in healthcare providers, honestly. I guess that’s an event.

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Information Events Geriatrics Definition 165

GeriPal

JUNE 30, 2022

Joel: And by the way, I should mention that some of the work that’s been done in the past on patients with dementia in the hospital, it’s been based on Emily Finlayson’s work looking at surgery, but really looking only at nursing home patients. You’re not going to end up going back home after the surgery.

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Medicare Geriatrics 2016 Palliative care 250

GeriPal

MARCH 3, 2022

In a separate study in Chest , Lauren found pre-ICU frailty was associated with post-ICU disability and new nursing home admission. He, his Twitter feed though is brilliant. So, maybe the person with advanced dementia is coming in from the nursing home and nobody can find the living will from however many years ago.

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Geriatrics Ventilator Events Palliative care 239

Home Care Pulse

SEPTEMBER 13, 2022

Before that healthcare was cooking along really growing and then this balanced budget act was passed in 1997 and it drastically slashed Medicare reimbursement amounts for services across the continuum. There’s still just a handful that, that have no CE requirements for nurses. That happened. And so that’s what happened.

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Caregiver Vital signs Healthcare Magazine 91

GeriPal

MARCH 27, 2025

A lot has changed, but what motivated the study was a recognition that most advanced care planning interventional research had been undertaken in nursing homes. At a high level to sort of step in and start, you know, tinkering with workflows that, you know, are kind of as healthcare is a giant machine in primary care.

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Document Palliative care Definition Bereavement 191